| NPI | 1043597073 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KAMLESH DAVE Owner 502-241-8488 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: KY 34317) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: KY 34317) |
| Enumeration Date | 2011-11-04 |
| Last Update Date | 2011-11-04 |